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1104132711
URBAN MARTINEZ
COVINGTON, LA
NPI
1104132711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 9270)
Enumeration Date
2010-08-20
Last Update Date
2010-08-20
Business Address
Mr. URBAN MARTINEZ rph
1203 BUSINESS 190
COVINGTON, LA 70433-3278
Phone number: 985-803-7476
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Mailing Address
Mr. URBAN MARTINEZ rph
1203 BUSINESS HIGHWAY 190
COVINGTON, LA 70433
Phone number: 985-803-7476
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